The article discusses the worries of Medicaid directors in the U.S. on budget shortfalls and the implementation of the healthcare reform law. Medicaid directors mentioned a report from the Kaiser Commission on Medicaid and the Uninsured that the states will not be able to recover their revenues for several years though the overall economy is improving. A graph is presented depicting the 2010-2020 cost-containment strategies of the Patient Protection and Affordable Care Act.

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